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| Main Authors: | , , , , , , , , |
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| Format: | Artículo Open Access |
| Published: |
Wiley
2026
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| Subjects: | |
| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/pace.70263 |
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Table of Contents:
- Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead Yousaku Okubo Shogo Miyamoto Shunsuke Ishida Junji Maeda Naoki Ishibashi Sho Okamura Takehito Tokuyama Noboru Oda Yukiko Nakano Pacing and Clinical Electrophysiology ABSTRACT Bachmann bundle area pacing (BBp) has primarily been performed using lumenless leads delivered through dedicated atrial sheaths. With stylet‐driven leads, stable positioning at the superior interatrial septum can be technically challenging. We report two patients in whom the distal portion of a standard ventricular delivery catheter was shortened and reshaped using controlled heat molding with a heat gun. The customized sheath enabled stable placement of a stylet‐driven lead at the high interatrial septum, resulting in successful BBp with favorable electrical parameters. Customized sheath modification may facilitate BBp using conventional pacing systems. Clinical Trial Registration : This study was not registered in a clinical trial registration, as it represents a retrospective case series and dose not meet the criteria for a prospective interventional clinical trial. 10.1111/pace.70263 http://onlinelibrary.wiley.com/termsAndConditions#vor